People, Belonging, & Culture

MICA Vaccine Distribution Waitlist Form

As announced in a March 5 memo, MICA has found a clinical provider in Baltimore to help provide COVID-19 vaccines to our community. Please use the form below to be added to a list the College will use to provide vaccination appointments as they become available through the provider.

When appointments become available, you will be given additional information by Human Resources or your supervisor. Appointments will be given based on availability from the provider.

* = required field

Your Information